Particle acceleration using intense laser produced plasmas

Recent results from high intensity (up to 5 × 10 20 W/cm 2 ) laser plasma interaction experiments at Imperial College London have shown that the plasmas produced during such interactions can be efficient sources of relativistic electron beams and also of high quality beams of non-relativistic ions. These beams may be important for the development of compact sources of energetic particles for applications in science, medicine and technology. (© 2007 by Astro Ltd., Published exclusively by WILEY-VCH Verlag GmbH & Co. KGaA)Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/57406/1/847_ftp.pd

Self-guided wakefield experiments driven by petawatt class ultra-short laser pulses

We investigate the extension of self-injecting laser wakefield experiments to the regime that will be accessible with the next generation of petawatt class ultra-short pulse laser systems. Using linear scalings, current experimental trends and numerical simulations we determine the optimal laser and target parameters, i.e. focusing geometry, plasma density and target length, that are required to increase the electron beam energy (to > 1 GeV) without the use of external guiding structures.Comment: 15 pages, 8 figure

Comparison of Xpert GBS v. culture for rapid detection of group B streptococcus in pregnant women: Sensitivity, specificity and predictive values

Background. Group B streptococcus (GBS) is a leading cause of invasive disease, particularly in newborns. Seventy-five percent of neonates will be colonised by mothers carrying the organism. Confirmation of maternal colonisation with GBS is essential for prompt treatment and prevention of neonatal sepsis. The current gold standard of culture for isolation of GBS has a disadvantage of long turnaround time (24 - 72 hours). Rapid assays are required to determine maternal carriage of GBS.Objectives. To determine the usefulness of the Xpert GBS technology v. culture methods to detect GBS carriage in pregnant women.Methods. This was a prospective observational study of 284 pregnant women between 26 and 37 weeks’ gestation. Two vaginorectal swabs were collected from each participant. One swab was processed using the gold-standard culture method, while the second swab was processed using the Xpert GBS assay. The performance of the Xpert GBS assay was then compared with that of the culture method.Results. Two swabs were processed from each of 284 pregnant women between 26 and 37 weeks’ gestation. Culture detected 70 GBS isolates from a total of 279 specimens (25.1%), whereas the Xpert GBS detected 66 positive specimens (23.7%). The Xpert GBS assay had a sensitivity of 87% and specificity of 98%, with a positive predictive value of 92% and a negative predictive value of 96%.Conclusions. The Xpert GBS assay is a rapid and sensitive tool for prenatal detection of GBS. The assay should ideally be available in every labour ward, where women can be screened for GBS on arrival

Measurement of Magnetic-Field Structures in a Laser-Wakefield Accelerator

Experimental measurements of magnetic fields generated in the cavity of a self-injecting laser-wakefield accelerator are presented. Faraday rotation is used to determine the existence of multi-megagauss fields, constrained to a transverse dimension comparable to the plasma wavelength and several plasma wavelengths longitudinally. The fields are generated rapidly and move with the driving laser. In our experiment, the appearance of the magnetic fields is correlated to the production of relativistic electrons, indicating that they are inherently tied to the growth and wavebreaking of the nonlinear plasma wave. This evolution is confirmed by numerical simulations, showing that these measurements provide insight into the wakefield evolution with high spatial and temporal resolution

Antimicrobial susceptibility and serotype distribution of Streptococcus agalactiae rectovaginal colonising isolates from pregnant women at a tertiary hospital in Pretoria, South Africa: An observational descriptive study

Background. Streptococcus agalactiae or group B streptococcus (GBS) is a significant cause of neonatal sepsis. Intrapartum antibiotic prophylaxis is recommended for pregnant women identified to be rectovaginally colonised between 34 and 37 weeks’ gestational age to decrease the risk of invasive disease in their newborns. An effective multivalent GBS vaccine may prevent a broader scope of GBS-associated diseases, such as GBS early-onset disease, GBS late-onset disease, spontaneous abortion, stillbirth and maternal bacteraemia. Serotype distribution of GBS isolates is essential to determine the efficacy of such a vaccine.Objectives. To investigate serotype distribution and antimicrobial susceptibility patterns of GBS isolates cultured from rectovaginal specimens during pregnancy.Methods. Sixty-nine archived maternal colonising isolates were tested against penicillin, erythromycin, clindamycin, vancomycin and levofloxacin. Minimum inhibitory concentration testing was performed using the ETEST method. Serotyping was performed by the latex agglutination method.Results. The most common serotypes detected were Ia (54%), III (20%), V (16%), II (6%), IV (2%) and Ib (1%). All isolates were fully susceptible to penicillin, vancomycin and levofloxacin. Eight (11%) and 50 (56%) isolates showed intermediate resistance to erythromycin and clindamycin, respectively, and 1 isolate was resistant to erythromycin. The macrolide-lincosamide-streptogramin B (MLSB) phenomenon was noted in 3 (4%) of the isolates.Conclusions. GBS-colonising isolates remain susceptible to penicillin, which remains the drug of choice for intrapartum antibiotic prophylaxis and treatment of invasive disease in newborns. Macrolides should only be used if clinically indicated due to the high prevalence of intermediate resistance. A pentavalent GBS vaccine currently in phase I trials should provide coverage for 97% of the isolates identified in this study

Sepsis in previously healthy neonates discharged home after delivery in Soweto, South Africa

Background. There is a paucity of data on the aetiology of neonatal sepsis in sub-Saharan Africa.Objectives. To investigate the incidence, aetiology and outcomes of physician-diagnosed sepsis in hospitalised neonates who had previously been discharged home after delivery in Soweto, South Africa.Methods. A retrospective review using data abstracted from clinical and laboratory databases identified physician-diagnosed sepsis cases in neonates admitted to the general paediatric wards at Chris Hani Baragwanath Academic Hospital from January 2015 to September 2016. Neonates with physician-diagnosed sepsis were categorised into two groups based on putative pathogens recovered from blood and/or cerebrospinal fluid specimens: (i) culture-confirmed sepsis; and (ii) culture-negative sepsis.Results. Of 1 826 neonatal admissions, 1 025 (56.2%) had physician-diagnosed sepsis: 166 (16.2%) with culture-confirmed sepsis and 859 (83.8%) with culture-negative neonatal sepsis. The commonest pathogens causing culture-confirmed neonatal sepsis were Streptococcus viridans (n=53; 26.5%), S. agalactiae (n=38; 19.0%), and Staphylococcus aureus (n=25; 12.5%). The case fatality rates for culture-confirmed sepsis and culture-negative sepsis were 10.8% (18/166) and 2.6% (22/859), respectively. The odds of death occurring during hospitalisation was 10-fold (95% confidence interval 3.7 - 26.9) higher in neonates with culture-confirmed sepsis compared with culture-negative sepsis.Conclusions. In our setting, physician-diagnosed sepsis represents a huge disease burden in previously healthy neonates hospitalised from home. Most sepsis cases were attributed to S. viridans, S. agalactiae and S. aureus

Longitudinal Ion Acceleration from High-Intensity Laser Interactions with Underdense Plasma

Longitudinal ion acceleration from high-intensity (I ~ 10^20 Wcm^-2) laser interactions with helium gas jet targets (n_e ~ 0.04 n_c) have been observed. The ion beam has a maximum energy for He^2+ of approximately 40 MeV and was directional along the laser propagation path, with the highest energy ions being collimated to a cone of less than 10 degrees. 2D particle-in-cell simulations have been used to investigate the acceleration mechanism. The time varying magnetic field associated with the fast electron current provides a contribution to the accelerating electric field as well as providing a collimating field for the ions. A strong correlation between the plasma density and the ion acceleration was found. A short plasma scale-length at the vacuum interface was observed to be beneficial for the maximum ion energies, but the collimation appears to be improved with longer scale-lengths due to enhanced magnetic fields in the ramp acceleration region.Comment: 18 pages, 6 figure

Cases

Thymolipoma is a rare benign anterior mediastinal tumour of thymic origin containing both thymic and mature adipose tissues. In most cases it has a silent course and can grow to large sizes before presenting with respiratory symptoms. We report a case of a giant thymolipoma in a 4-year-old girl treated at Chris Hani Baragwanath Academic Hospital, South Africa